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Skin Microbial Exposure

Decent Essays

4-3. Environmental factors
Significant variations in the prevalence between world regions suggest that environmental factors, such as climate, diet, obesity, smoking rates, and microbial exposure could influence the development of AD.

4-3-1. Microbial exposure
Recent studies highlighted the impact of skin microbiota on AD because microbiota has been revealed to be involved both in the homeostasis and pathogenic conditions of the skin (Naik et al., 2012). In AD patients, temporal dybiosis dominated by Staphylococcus aureus (S. aureus) during disease flares was reported (Kong et al., 2012; LEYDEN, MARPLES, & KLIGMAN, 1974). The skin commensal S. epidermidis also significantly increased during flares. In contrast, Streptococcus, Propionibacterium, …show more content…

In addition, systemic antibiotic treatment was reported to increase the risk of AD (Tsakok, McKeever, Yeo, & Flohr, 2013), which may be linked to microbiota changes in the intestine. These observations suggest that gut microbiota might be involved in AD pathogenesis, potentially through stimulation and education of immune cell …show more content…

It has a strong antibacterial effect and controls corneocytes desquamation. Previous reports showed that a total body pH increases in the patients with AD (Ring et al., 2000; Seidenari & Giusti, 1995), which might exacerbate AD skin lesions. The most common environmental agents that affect skin pH are soap and other detergents. Washing the skin with a soap causes elevation of skin pH, emulsification of skin surface lipids, enhancement of skin proteases and subsequent thinning of stratum corneum (White, Jenkinson, & Lloyd,

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